Individual
BRADLEY JAMES DENMEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10207 CERNY ST, RALEIGH, NC 27617-4879
(919) 484-3857
Mailing address
10207 CERNY ST, RALEIGH, NC 27617-4879
(919) 484-3857
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
230574
NC
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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